Coding Specialist Jobs in Pennsylvania
Coding specialist jobs in Pennsylvania are consistently active, with demand concentrated in healthcare systems, insurance carriers, and hospital networks that rely on accurate medical coding for billing and compliance. Philadelphia, Pittsburgh, and Harrisburg are the primary hiring hubs, home to major employers like UPMC, Jefferson Health, and Highmark Health. The most sought-after specialties in the state include inpatient facility coding, professional fee coding, and risk adjustment coding at every level from entry-level to senior auditor. Find a role that fits below and apply directly.
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Showing 5 of 12+ Coding Specialist jobs
POSITION SUMMARY
The responsibility of the Coding Specialist Certified is to search a patient's entire medical record to ensure comprehensive coding and abstracting utilizing the coding rules, principles and ethics under the supervision of the Coding Supervisor and Manager, Health Information Management. With quality and reimbursement contingent upon coding, it is the responsibility of the Medical Center Coding Specialist Certified to have knowledge of DRG methodology, ICD-10, CPT-4 and APC coding rules and principles.
MINIMUM REQUIREMENTS
Education:
Graduate of an approved Health Information Management Technology program, preferred.
Must have Registered Health Information Technician (RHIT) credentials, Certified Coding Specialist (CCS) or other relevant credentials such as Certified Professional Coder (CPC) or one year of relevant experience.
If does not have credentials, must obtain the required credentials within 1 year of hire/transfer.
OR
Graduate of Medical Office Specialist program with current, acute care experience with ICD-10, CPT, DRG coding rules and methodologies required.
Must have Certified Coding Specialist (CCS) or other relevant credential or one year of relevant experience.
If does not have credentials, must obtain the required credentials within 1 year of hire/transfer.
Experience:
- Current, acute care experience with ICD-10, CPT, DRG, APC coding rules and methodologies preferred.
Knowledge, Skills, Abilities:
- Demonstrates knowledge of diagnostic and procedural terminology, medical terminology and disease processes (anatomy and physiology).
- Self-motivated individual with personal integrity to organize work and work independently.
- Typing skills with basic knowledge of computer operations.
- Communication skills necessary to approach the medical staff, hospital personnel, ancillary department etc. for any clarifications regarding record questions or problems utilizing coding rules and principles.
License/Certification/Registration:
- Registered Health Information Technician (RHIT) and/or Certified Coding Specialist (CCS) and/or Certified Professional Coder (CPC) are required within 1 year of hire/transfer.
SUPERVISION RECEIVED
Receives minimal supervision from the Supervisor, HIM Coding. Must be able to work independently.
SUPERVISION GIVEN
None
ESSENTIAL FUNCTIONS
- Reviews the medical record for diagnoses and procedures performed.
- Analyzes and searches the documentation listed in the entire medical record for all documented clinical information (diagnoses and procedures) in accordance with established procedures, daily, and trained in a minimum of 3 out of the 4 following areas:
- Inpatient records
- Outpatient records
- Emergency Room records
- Clinical /Diagnostic records
- Identifies and sequences principal diagnosis, secondary diagnoses, principal procedures, complications and comorbid conditions, for optimal reimbursement, utilizing proper coding practices, on a daily basis.
- Analyzes and searches the documentation listed in the entire medical record for all documented clinical information (diagnoses and procedures) in accordance with established procedures, daily, and trained in a minimum of 3 out of the 4 following areas:
- Selects ICD 10-, CPT-4, DRG code assignments.
- Assigns proper ICD-10, CPT-4, DRG codes for all diagnoses, procedures, complications, and comorbid conditions during the course of hospitalization after researching the entire record, maintaining a 95% accuracy rate, on a daily basis.
- Performs duties involving abstracting information from the medical record and entering the information into the in-house computer systems and interfaces.
- Data enters accurate ICD-10 and CPT-4 codes, physician related and clinical information, and demographic information into computerized coding/abstracting system, in accordance with established procedures, maintaining a 95% accuracy rate, on a daily basis.
- Assigns DRG and electronically releases accounts for generation of a patient bill after physician completion, as required.
- Processes and follows through with clinical codes and diagnostic information as records are returned by physicians, in accordance with established procedures, on a daily basis.
- Enters charges on Emergency Department medical record based on procedure coding, according to rules applied by each payer.
- May work with the Clinical Documentation Specialists.
- May complete Radiology and/or Medical Necessity worklists.
- Meets standard of performance as follows:
- Trainee: Average inpatient: 45-60 minutes per chart. Average outpatient: 15-20 minutes per chart. Average ED: 15 minutes per chart. Average clinic: 3-4 minutes per chart.
- Experienced: Average inpatient: 30 minutes per chart. Average outpatient: 12 minutes per chart. Average ED: 8-9 minutes per chart. Average clinic: 2-3 minutes per chart.
- Meets Performance Standards for Insurance Billing:
- Coordinates outpatient coding for Medicare, Blue Cross, Medical Assistance, HMO’s, and Commercial Insurance accounts.
- Reviews registration information at the time of coding for accuracy.
- Enters coding into the system in preparation for electronic and hardcopy claims submissions following HIPAA guidelines.
- Processes incomplete records.
- Forwards incomplete and/or invalid records to physician, and/or clarifies concerns regarding the record with the physician, as required.
- Assists in chart completion utilizing computerized system and following established departmental procedures.
- Maintains timely completion of records.
- Expedites the completion of the abstracting procedure to generate the patient bill in a timely manner, in accordance with established procedures, on a daily basis.
- Assists with facilitation of timely and accurate chart completion and processing.
- Performs coding/abstracting utilizing electronic records according to procedure.
- Remains current in coding rules and practices. Reviews current literature and acquires reference material to enhance knowledge regarding diagnostic and procedural terminology. Remains current in coding practices through reading, attendance of in-service programs, and designated continuing educational programs, as required for up to date practices.
- Participates as a team member to the organization.
- Maintains liaison with medical staff, hospital personnel, patients, other hospitals, and clinics, as required.
- Assists with orientation and ongoing training of new/other employees to specific coding job functions at a level that employee can accomplish, as assigned.
- Practices excellent communication skills.
- Receives and records initial contacts on the telephone or via computer; courteously assists callers; answers incoming telephone calls, takes message, provides information or routes calls to appropriate individual; answers incoming emails, provides information or directs to appropriate office or individual.
NON-ESSENTIAL FUNCTIONS
- Performs related and miscellaneous duties as assigned.
- Accepts additional assignments as required from supervisory personnel meeting any specific time frame indicated.
- Assists supervisory personnel in any task oriented job function to maintain effective, timely chart flow and expedite cash flow, as needed.
- Assists with proficiency/competency reviews as assigned.
POSITION SUMMARY
The responsibility of the Coding Specialist Certified is to search a patient's entire medical record to ensure comprehensive coding and abstracting utilizing the coding rules, principles and ethics under the supervision of the Coding Supervisor and Manager, Health Information Management. With quality and reimbursement contingent upon coding, it is the responsibility of the Medical Center Coding Specialist Certified to have knowledge of DRG methodology, ICD-10, CPT-4 and APC coding rules and principles.
MINIMUM REQUIREMENTS
Education:
Graduate of an approved Health Information Management Technology program, preferred.
Must have Registered Health Information Technician (RHIT) credentials, Certified Coding Specialist (CCS) or other relevant credentials such as Certified Professional Coder (CPC) or one year of relevant experience.
If does not have credentials, must obtain the required credentials within 1 year of hire/transfer.
OR
Graduate of Medical Office Specialist program with current, acute care experience with ICD-10, CPT, DRG coding rules and methodologies required.
Must have Certified Coding Specialist (CCS) or other relevant credential or one year of relevant experience.
If does not have credentials, must obtain the required credentials within 1 year of hire/transfer.
Experience:
- Current, acute care experience with ICD-10, CPT, DRG, APC coding rules and methodologies preferred.
Knowledge, Skills, Abilities:
- Demonstrates knowledge of diagnostic and procedural terminology, medical terminology and disease processes (anatomy and physiology).
- Self-motivated individual with personal integrity to organize work and work independently.
- Typing skills with basic knowledge of computer operations.
- Communication skills necessary to approach the medical staff, hospital personnel, ancillary department etc. for any clarifications regarding record questions or problems utilizing coding rules and principles.
License/Certification/Registration:
- Registered Health Information Technician (RHIT) and/or Certified Coding Specialist (CCS) and/or Certified Professional Coder (CPC) are required within 1 year of hire/transfer.
SUPERVISION RECEIVED
Receives minimal supervision from the Supervisor, HIM Coding. Must be able to work independently.
SUPERVISION GIVEN
None
ESSENTIAL FUNCTIONS
- Reviews the medical record for diagnoses and procedures performed.
- Analyzes and searches the documentation listed in the entire medical record for all documented clinical information (diagnoses and procedures) in accordance with established procedures, daily, and trained in a minimum of 3 out of the 4 following areas:
- Inpatient records
- Outpatient records
- Emergency Room records
- Clinical /Diagnostic records
- Identifies and sequences principal diagnosis, secondary diagnoses, principal procedures, complications and comorbid conditions, for optimal reimbursement, utilizing proper coding practices, on a daily basis.
- Analyzes and searches the documentation listed in the entire medical record for all documented clinical information (diagnoses and procedures) in accordance with established procedures, daily, and trained in a minimum of 3 out of the 4 following areas:
- Selects ICD 10-, CPT-4, DRG code assignments.
- Assigns proper ICD-10, CPT-4, DRG codes for all diagnoses, procedures, complications, and comorbid conditions during the course of hospitalization after researching the entire record, maintaining a 95% accuracy rate, on a daily basis.
- Performs duties involving abstracting information from the medical record and entering the information into the in-house computer systems and interfaces.
- Data enters accurate ICD-10 and CPT-4 codes, physician related and clinical information, and demographic information into computerized coding/abstracting system, in accordance with established procedures, maintaining a 95% accuracy rate, on a daily basis.
- Assigns DRG and electronically releases accounts for generation of a patient bill after physician completion, as required.
- Processes and follows through with clinical codes and diagnostic information as records are returned by physicians, in accordance with established procedures, on a daily basis.
- Enters charges on Emergency Department medical record based on procedure coding, according to rules applied by each payer.
- May work with the Clinical Documentation Specialists.
- May complete Radiology and/or Medical Necessity worklists.
- Meets standard of performance as follows:
- Trainee: Average inpatient: 45-60 minutes per chart. Average outpatient: 15-20 minutes per chart. Average ED: 15 minutes per chart. Average clinic: 3-4 minutes per chart.
- Experienced: Average inpatient: 30 minutes per chart. Average outpatient: 12 minutes per chart. Average ED: 8-9 minutes per chart. Average clinic: 2-3 minutes per chart.
- Meets Performance Standards for Insurance Billing:
- Coordinates outpatient coding for Medicare, Blue Cross, Medical Assistance, HMO’s, and Commercial Insurance accounts.
- Reviews registration information at the time of coding for accuracy.
- Enters coding into the system in preparation for electronic and hardcopy claims submissions following HIPAA guidelines.
- Processes incomplete records.
- Forwards incomplete and/or invalid records to physician, and/or clarifies concerns regarding the record with the physician, as required.
- Assists in chart completion utilizing computerized system and following established departmental procedures.
- Maintains timely completion of records.
- Expedites the completion of the abstracting procedure to generate the patient bill in a timely manner, in accordance with established procedures, on a daily basis.
- Assists with facilitation of timely and accurate chart completion and processing.
- Performs coding/abstracting utilizing electronic records according to procedure.
- Remains current in coding rules and practices. Reviews current literature and acquires reference material to enhance knowledge regarding diagnostic and procedural terminology. Remains current in coding practices through reading, attendance of in-service programs, and designated continuing educational programs, as required for up to date practices.
- Participates as a team member to the organization.
- Maintains liaison with medical staff, hospital personnel, patients, other hospitals, and clinics, as required.
- Assists with orientation and ongoing training of new/other employees to specific coding job functions at a level that employee can accomplish, as assigned.
- Practices excellent communication skills.
- Receives and records initial contacts on the telephone or via computer; courteously assists callers; answers incoming telephone calls, takes message, provides information or routes calls to appropriate individual; answers incoming emails, provides information or directs to appropriate office or individual.
NON-ESSENTIAL FUNCTIONS
- Performs related and miscellaneous duties as assigned.
- Accepts additional assignments as required from supervisory personnel meeting any specific time frame indicated.
- Assists supervisory personnel in any task oriented job function to maintain effective, timely chart flow and expedite cash flow, as needed.
- Assists with proficiency/competency reviews as assigned.
See All 12 Coding Specialist Jobs in Pennsylvania
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Find Coding Specialist JobsCoding Specialist Jobs by City in Pennsylvania
Where Pennsylvania roles are concentrated, by current openings.
Coding Specialist Job Market in Pennsylvania
A snapshot from current Pennsylvania openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Education
What Pennsylvania Employers Look For
The qualifications that appear most often in coding specialist jobs across Pennsylvania.
- Certified coding credential such as CPC, CCS, or CCS-P required by most Pennsylvania employers
- Proficiency in ICD-10-CM and CPT coding systems for accurate claim submission
- Experience with electronic health record platforms including Epic or Cerner
- Knowledge of Medicare and Medicaid billing guidelines applicable to Pennsylvania payers
- Strong understanding of medical terminology, anatomy, and disease processes
- Ability to meet production and accuracy benchmarks in a high-volume coding environment
Coding Specialist Jobs in Pennsylvania: Frequently Asked Questions
How do you become a coding specialist in Pennsylvania?
Pennsylvania does not issue a state license for coding specialists, so the standard path is earning a nationally recognized credential before applying to employers. Most Pennsylvania health systems and insurance carriers require the Certified Professional Coder credential from the AAPC or the Certified Coding Specialist credential from AHIMA. Completing an accredited health information technology or medical coding program at a Pennsylvania community college or university builds the foundational knowledge needed to pass those exams and qualify for entry-level roles.
How much do coding specialists make in Pennsylvania?
Coding specialists in Pennsylvania earn a median of about $89,180 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $60,070 for the lowest 10% to over $134,710 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire coding specialists in Pennsylvania?
Employers hiring coding specialists in Pennsylvania right now include Penn Medicine, MPOWERHealth, and Penn Medicine, University of Pennsylvania Health System, based on current listings on Migrate Mate as of October 2026. Pennsylvania's dense concentration of large integrated health systems and regional insurance carriers means steady, year-round demand for both facility and professional fee coders across the state.
Which Pennsylvania cities have the most coding specialist jobs?
Philadelphia, Bala-Cynwyd, and Conshohocken account for the largest share of coding specialist openings in Pennsylvania. Philadelphia leads because of its large academic medical centers and regional insurance headquarters, Pittsburgh's concentration of UPMC facilities drives significant volume there, and Harrisburg's government-adjacent health agencies and mid-state hospital networks contribute a reliable share of the remaining openings.
Are there remote coding specialist jobs in Pennsylvania?
Yes, and more than most healthcare roles. About 40% of coding specialist openings tied to Pennsylvania are remote or hybrid as of October 2026, reflecting how effectively this work translates to a home office environment. Professional fee coding and risk adjustment review tend to be the most consistently remote positions, while inpatient facility coding roles with complex chart review sometimes require on-site or hybrid arrangements.
How can I get hired as a coding specialist in Pennsylvania with little or no experience?
The most realistic entry path is completing a medical coding certificate program and sitting for the CPC or CCS exam before applying. Large Pennsylvania health systems like UPMC and Jefferson Health periodically post coding trainee and coding apprentice roles specifically designed for credentialed candidates without professional experience. Moving laterally from medical billing, health unit coordinator, or clinical documentation roles within a Pennsylvania hospital is another common door-opener, and a strong accuracy score on a coding pre-employment assessment often carries as much weight as prior job history.
Where can I find and apply to coding specialist jobs in Pennsylvania?
You can find and apply to coding specialist jobs in Pennsylvania on Migrate Mate, which lists current openings across the state. Search the listings, find roles that match your credentials and experience level, and apply directly to the ones that fit.
See All 12 Coding Specialist Jobs in Pennsylvania
Find roles in Pennsylvania that match your experience and apply in just a few clicks.
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